Data Notice: All results sourced from the public CMS NPPES NPI Registry (45 CFR Part 162) — for healthcare administrative use only (credentialing, billing, insurance verification). Not for law enforcement or legal proceedings. Not affiliated with CMS, HHS, or the US Government. Verify critical details at npiregistry.cms.hhs.gov. No queries stored.
Export Provider Record NPI 1053508994
All Island Medical Associates Pc
Organization Subpart: NO
Active
NPI Number1053508994
NPI TypeNPI-2 Organization
SpecialtyFamily Medicine
Provider Details
NPI1053508994
NPI TypeNPI-2 Organization
StatusActive
Enumeration Date2007-09-25
Last Updated2017-09-22
Authorized OfficialSareth Pinnamaneni
PROPRIETOR
Phone: 6315897787
Mailing AddressPo Box 447
Bohemia, NY 11716-0447
United States
Phone: (631) 589-7787 | Fax: (631) 589-3908
📍 View Map
Primary Practice Address1099 Smithtown Ave
Bohemia, NY 11716-2127
United States
Phone: (631) 589-7787 | Fax: (631) 589-3908
📍 View Map
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes207Q00000X – Family MedicineNY194215-1
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About NPI 1053508994

All Island Medical Associates Pc is an organization registered in the CMS NPPES NPI Registry with NPI number 1053508994. The primary specialty listed is Family Medicine. The organization is located in Bohemia, NY. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2007-09-25. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1053508994?

NPI 1053508994 belongs to All Island Medical Associates Pc, a Family Medicine in Bohemia, NY. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.

Is NPI 1053508994 active?

The current status of NPI 1053508994 in the NPPES registry is Active. The record was last updated on 2017-09-22.

What specialty is NPI 1053508994?

NPI 1053508994 is classified under the taxonomy Family Medicine. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1053508994?

You can verify NPI 1053508994 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1053508994?

The primary practice address on file for NPI 1053508994 is 1099 Smithtown Ave, Bohemia, NY 11716-2127. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1053508994 issued?

NPI 1053508994 was first issued (enumerated) on 2007-09-25. The NPPES record was last updated on 2017-09-22.

Practice Location Map

All Island Medical Associates Pc is located at 1099 Smithtown Ave, Bohemia, NY. Use the map below to find directions or verify the practice location.

📍 1099 Smithtown Ave, Bohemia, NY 11716-2127  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as All Island Medical Associates Pc. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1053508994. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Family Medicine194215-1NY
Data Verified from CMS NPPES Last synced: 2026-06-15 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162